International Online Literary Creation Competition
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Email *
Last & First Name: *
City: *
Country: *
Phone: *
Email: *
Age reached: *
Supervising professor (where the case) *
Vocational/artistic education institution (where the case) *
Category *
Section *
Age group *
I participate in the contest with the following work/poems (for poems – 3 titles, for prose – a single title): *
I have paid the participation fee, in Romanian currency (RON), in the account of the organizer Best Bridge Services SRL opened at ING Bank, Bucharest, IBAN: RO22INGB0000999903782351 (in RON) SWIFT Code: INGBROBU or by PayPal. The fee I paid is: *
For compliance, I enclose a copy of the payment order or bank statement. The registration fee is not refundable for any reason. Also, by signing this form I took note of all the details of Annexes 2 and 3 (where applicable) and confirm that my signature represents my agreement to those described in Annex 2 - Publication Agreement and Annex 3 - Parental Agreement. *
Date *
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Signature (Last and First Name) *
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